Archdale Eyecare Pc

LBN: Archdale Eyecare Pc
Archdale Eyecare Pc is an health care organization with primary practice located at 1541 S 8Th St , Colorado Springs CO 80905-1923. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Archdale Eyecare Pc can be contacted via phone (719) 577-4400, or through Archdale, Theodore (Ted) via phone (719) 577-4400.

Contact Information

Primary practice address
1541 S 8Th St Colorado Springs CO 80905-1923
Phone: (719) 577-4400
Fax: (719) 577-4954
Website:
Map and Directions
Authorized official contact:
Name: Archdale, Theodore (Ted) Doctor of Optometry (OD)
Phone: (719) 577-4400

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1466 Colorado

Profile Details

NPI number 1154457687
LBN Legal business name Archdale Eyecare Pc
DBA Doing business as
Authorized official Archdale, Theodore (Ted) Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 23rd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154457687 NPPES
Other 1588660161 PERSONAL NPI
MEDICAID 08014664 PERSONAL NPI
MEDICAID 99752212 PERSONAL NPI

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